The Journal of laboratory and clinical medicine . ed through publicity, personal in-terviews and prosecutions to correct this failuiT of rc[)orts both regarding typhoidfever and other reportable diseases. 376 The Journal of Laboratory and Clinical Medicine TrPHOID CA5E:5 ^^o DEATt13 er MONTHS. DEJTf^OIT, M/Ctf. MONTHS LNSTANCLS CA5£6 DEATH5 RAT/o <rf- IN^TANCX^to DEATHS CA3E3REPORTED DEATHS(REPORTEDas CA5E3. ZTULy. <h9 ss // €.ZS 39 6 AUG: ^^ 90 ^ J/.OO 83 2 SEPT / o^ ^3 / O ^8 5 OCT 7 3 6^ 4 /6-30 36 J NOV S5 ^6 7 7. SO 3.^ 4 DEC 3 0 ZZ 6 O Z3 3 <2i mot^^yTS, 4-2 7 378 4-9
The Journal of laboratory and clinical medicine . ed through publicity, personal in-terviews and prosecutions to correct this failuiT of rc[)orts both regarding typhoidfever and other reportable diseases. 376 The Journal of Laboratory and Clinical Medicine TrPHOID CA5E:5 ^^o DEATt13 er MONTHS. DEJTf^OIT, M/Ctf. MONTHS LNSTANCLS CA5£6 DEATH5 RAT/o <rf- IN^TANCX^to DEATHS CA3E3REPORTED DEATHS(REPORTEDas CA5E3. ZTULy. <h9 ss // €.ZS 39 6 AUG: ^^ 90 ^ J/.OO 83 2 SEPT / o^ ^3 / O ^8 5 OCT 7 3 6^ 4 /6-30 36 J NOV S5 ^6 7 7. SO 3.^ 4 DEC 3 0 ZZ 6 O Z3 3 <2i mot^^yTS, 4-2 7 378 4-9 S-72 360 23 ZFAN / ^ / 8 / /^.oo / 7 / FEB J 8 /4 4 16 3 MAR Z6 22 4 630 22 2 APR, J S / Z 3 SOO / / 2 MAY Z3 J^ 4 S70 /<? / TUNE 20 /^ 1 ZO-OO J9 / 47 ^6 // 40 S AUG- 75 68 6 I4G0 63 / SEPT 9 J SI / O 9/0 SG ? OCT 3Z 46 6 67 0 3r/ G NOV 40 2S /2 333 34 6 DEC 32- 22 // 30O 30 S TOTAL. -For-12 morrfi^s 457 3Q^ 72 408 43 TOTAL. -F or-is mor^hs 354- 7(3^ IZI 7-SO 76S G6 FIG. 3. Observations on Typhoid Fever in Detroit \77. It has been our aim to make a detailed analysis of the history of each ca^eand from sucii a study to draw a conclusion as to the probable source of infec-tion. In 337 cases, or 38 per cent of the instances, we were unable to ascribeany particular source. As in the compilation of mortality statistics it is a diffi-cult problem to select a single cause of death from two or more causes simul- 378 The Journal of Laboratory and Clinical Medicine taneously reported by the physician, it is likewise not a simple matter to assignwith certamty a specific source of typhoid fever infection in every this has been done only in those cases in which the evidence ismost conclusive. The accompanying chart (Fig. 4) shows the per cent of eachmonths total typhoid attributed to each specific source. Outside.—This refers especially to nonresidents who come to Detroit sick,or who are taken sick at the proper time after their arrival. I
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